ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 025-015 05/20/2025 Upcoming Free Training Opportunity: Complete, Accurate, and Timely Submission of Payroll-Based Journal (PBJ) and State Direct Care Nursing HPRD Data Current
NH 019-017 08/30/2019 Upcoming Changes to MDS & Case Mix Current
NH 021-079 10/08/2021 CR-103E Filed to Extend Emergency Rules Amending Nursing Home Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 022-029 05/17/2022 Begin Using DOH Construction Review Services for All Construction Projects Prior to the End of the Proclamation Current
NH 025-035 08/08/2025 Expired - QSO 19-07-NH: Enhanced Oversight and Enforcement of Non-Improving Late Adopters Current
NH 018-008 04/13/2018 Clarification: RN Hours for Meeting 24 Hour RN Staffing Requirement Current
NH 021-055 07/08/2021 Changes to Background Check Disqualifiers Current
NH 024-011 03/15/2024 Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a Nursing Home (NH)) Superseded

Superseded 2/28/2025

NH 023-014 03/30/2023 Secretary of Health Face Covering Order Ends April 3, 2023 Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 019-029 12/13/2019 Nursing Assistant Testing Process Change Current
NH 024-029 06/14/2024 Notice of Public Power Safety Shutoffs Current
NH 021-044 05/26/2021 Source Control Regardless of Vaccination Status Current
NH 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) Current
NH 025-045 09/25/2025 EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE Current
NH 014-008 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-022

NH 016-041 12/01/2016 Permanent Rule Filing Chapter 388-97 WAC Current
NH 020-022 04/16/2020 CMS/CDC Infection Control Guidance, Additional Blanket Waivers, COVID-19 Transfer/Discharge & Proclamation 20-44 Current

Superseded August 8, 2025

NH 013-006 04/17/2013 S&C 13-14: Physician Delegation of Tasks in SNFs and NFs Current
NH 025-055 10/31/2025 PROPOSED AMENDMENTS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 021-081 10/08/2021 30-Day Extension Approved of Proclamation 21-15 Related to the Transfer and Discharge of Nursing Home Residents Current
NH 017-010 04/12/2017 S&C 17-23-NH/HHA/CLIA Notice of Final Rule Adjusting Civil Monetary Penalties (CMPs) for Inflation Current
NH 025-036 08/08/2025 Revised QSO-25-23-ALL: Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE) Current
NH 021-021 03/04/2021 Long-Term Care Resilience Training Opportunity Current
NH 018-009 04/13/2018 Specialized Infection Prevention & Control Training Current